33 Years of Ethical Clinical Practice with Humane Touch

Kshema Pediatrix is an exclusive centre for Pediatric Super-specialists offering state of the art professional healthcare in an ethical manner with a humane touch.

The team is headed by Dr. Ramesh Santhanakrishnan, senior Pediatric Surgeon with nearly 33 years of clinical Practice in Bangalore. Kshema has been offering such services in the field of Pediatric Surgery since 1996. We relentlessly pursue our passion for excellence.

Why a Pediatric Specialist
Pediatric Speciality

Why a Pediatric
Specialist?

Why a Pediatric Surgeon
Pediatric Surgery

Why a Pediatric
Surgeon?

Pediatric Surgery Awareness Video
Founder’s Message

Clinic tour

Child Healthcare

Kshema Pediatrix - An Overview by Founder

Compassionate pediatric healthcare services focused on ethical treatment, advanced medical expertise, and child-friendly care.

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Pediatric Excellence

Why A Pediatric
Surgeon?

Discover advanced pediatric speciality services with humane treatment, experienced doctors, and patient-focused healthcare.

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Specialist Care

Why A Pediatric
Specialist?

Specialized pediatric surgical care delivered with precision, ethics, compassion, and decades of trusted medical experience.

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Pediatric Surgery & Pediatric Urology Services in Basavanagudi

Welcome to Basavanagudi’s specialised centre for pediatric surgery and paediatric urology. We provide subspecialised surgical care for newborns, infants, children, and adolescents. Combining advanced pediatric minimally invasive surgery (laparoscopy) and pediatric robotic surgery with gentle, child-centric care, our clinic ensures minimal pain, lower infection risks, virtually scarless outcomes, and fast home recovery.

Whether your child requires elective reconstructive urology (e.g., hypospadias repair, orchidopexy, pyeloplasty) or urgent interventions (e.g., testicular torsion, acute appendicitis, foreign body ingestion), our clinic near Bull Temple Road provides expert care.

Pediatric Urology & Genital Reconstructive Surgery

Children’s urinary and reproductive tracts require specialized pediatric urological care rather than adult urology techniques. We treat congenital anomalies and acquired conditions using micro-surgical and laparoscopic approaches.

PEDIATRIC UROLOGY CARE

Kidney & Ureter

  • PUJ Obstruction
  • Hydronephrosis
  • Vesicoureteric Reflux
  • Ureteric Re-implantation
  • Ureterocele

Penile & Genital Reconstructions

  • Hypospadias Repair & Chordee
  • Phimosis & BXO (Circumcision)
  • Undescended Testis (Orchidopexy)
  • Congenital & Encysted Hydrocele
  • Inguinal Hernia

Kidney, Ureter & Bladder Conditions

  • PUJ Obstruction & Hydronephrosis in Children: Pelvi-ureteric junction (PUJ) obstruction blocks urine flow from the kidney. We perform laparoscopic and robotic pyeloplasty to relieve blockages and protect renal function.

  • Vesicoureteric Reflux (VUR) & Ureterocele: Vesico ureteric reflux in children causes urine to flow backward into the kidneys, leading to urinary tract infections (UTIs). Treatment includes endoscopic injection therapy or surgical ureteric re-implantation.

  • Diagnostic Urology: Diagnostic cystoscopy in children provides clear visualisation of lower urinary tract anomalies.

Penile, Testicular & Scrotal Surgery

  • Hypospadias & Chordee in Children: Hypospadias is a congenital condition where the urethral opening is on the underside of the penis, often accompanied by penile curvature (chordee). We perform single-stage or two-stage surgical urethroplasty reconstruction.

  • Undescended Testis (Cryptorchidism): Surgical repositioning (orchidopexy in children) moves an undescended testicle into the scrotum to preserve fertility and reduce long-term risks.

  • Hydrocele & Inguinal Hernia in Children: High ligation repair for congenital hydrocele, encysted hydrocele, and inguinal hernia in children.

  • Phimosis, Balanoposthitis, & BXO: We treat tight foreskin (phimosis), foreskin inflammation (balanoposthitis), and balanitis xerotica obliterans (BXO) with medical care or pediatric circumcision.

  • Complex Genital & Emergency Conditions: Immediate surgical detorsion for testicular torsion in children (a medical emergency), alongside multidisciplinary care for Differences of Sex Development (DSD) / ambiguous genitalia in children.

Pediatric Minimally Invasive & Robotic Surgery

Our facility emphasizes pediatric minimally invasive surgery (keyhole surgery) to minimize physical and psychological trauma for your child.

PEDIATRIC KEYHOLE ADVANTAGES
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✂

Tiny Incisions

3mm–5mm

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♡

Minimal Pain

& Scarring

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⌂

Same-Day Home

Discharge

01

Pediatric Laparoscopy

Minimally invasive techniques for non-palpable undescended testes, appendicitis in children, and diagnostic abdominal explorations.

02

Pediatric Minimal Access Surgery

Specialized, tiny 3mm to 5mm instruments tailored specifically for infant and child anatomy.

03

Pediatric Robotic Surgery

Advanced robotic-assisted surgery offering 3D visualization and high precision for complex reconstructive procedures such as laparoscopic pyeloplasty and ureteric re-implantation.

General Pediatric Surgery, Cysts & Emergency Services

We provide comprehensive surgical management for general pediatric surgical conditions, congenital cysts, and foreign body emergencies:

  • Abdominal & Gastrointestinal Surgery: Advanced surgical treatment for appendicitis in children, choledochal cyst in children, umbilical hernia in children, and congenital anorectal malformation in children (ARM).

  • Head, Neck & Soft Tissue Cysts: Excision of congenital neck masses, including thyroglossal cyst in children, lymphangioma in children, and hemangioma in children.

  • Emergency Foreign Body Removal: 24/7 care for foreign body ingestion in children, tracheal foreign body, and airway foreign body extractions using endoscopic and bronchoscopic techniques.

  • Trauma & Aesthetic Wound Care: Emergency evaluation for cuts and wounds with child-friendly suturing techniques to promote healing and reduce scarring.

Comparison: Traditional Open Surgery vs. Pediatric Laparoscopy

Evaluation ParameterTraditional Open SurgeryAdvanced Pediatric Laparoscopy / Robotic Surgery
Incision SizeLarge surgical incision (3 cm – 8 cm)Tiny keyhole incisions (3 mm – 5 mm)
Post-Operative PainModerate to high pain requiring oral analgesicsMinimal discomfort, reduced need for pain medication
Hospital Stay3 to 5 DaysDay-care procedure or 24-hour discharge
Cosmetic RecoveryVisible surgical scarsVirtually invisible, hidden scars
Infection RiskHigher risk due to open exposureLower risk with sterile minimal access

 

Age-Wise Treatment Guide for Parents

Age GroupCommon Surgical ConditionsRecommended Intervention WindowPreferred Surgical Approach
Newborns (0–3 Months)Antenatal Hydronephrosis, Anorectal Malformation, Umbilical HerniaImmediate evaluation to 4 weeksSpecialized Neonatal Surgery / Laparoscopy
Infants (6–18 Months)Hypospadias, Undescended Testis, PUJ Obstruction6 to 18 Months (Ideal corrective window)TIP Urethroplasty, Orchidopexy, Pyeloplasty
Toddlers (1–5 Years)Inguinal Hernia, Hydrocele, VUR, Phimosis/BXOUpon clinical diagnosis or symptom onsetDay-Care Minimal Access Repair / Re-implantation
Children (5+ Years)Appendicitis, Foreign Body Ingestion, Testicular TorsionImmediate Emergency Intervention (< 6 hours for Torsion)Emergency Laparoscopy, Endoscopy, Detorsion
Dr. Ramesh Santhanakrishnan, Director and Chief Pediatric Surgeon
Dr. Ramesh Santhanakrishnan Director & Chief Pediatric Surgeon
33+ Years of Experience
Meet Our Specialist

Dr. Ramesh Santhanakrishnan

Director & Chief Pediatric Surgeon

Dr. Ramesh Santhanakrishnan is a highly experienced pediatric surgeon with more than 33 years of expertise. He is a pioneer in pediatric minimal access surgery and was at the forefront of establishing pediatric minimally invasive surgery in the country. He has conducted several national and international workshops, trained more than 300 pediatric surgeons, and served as an invited speaker and operating faculty at scientific meetings and live operative workshops.

33+ Years of Experience Pediatric surgical expertise
300+ Surgeons Trained Pediatric minimal access surgery
International Faculty Speaker at scientific workshops
Advanced Pediatric Care Pilonidal Minimal access surgical procedures
25000+ Surgeries Successful pediatric surgical procedures

Our Medical Team

Meet Our Specialist Doctors

Ms. Anupama Ramesh

Ms. Anupama Ramesh

Child Psychologist

Dr. Vinupriya D

Dr. Vinupriya D

Pediatric Surgical Oncologist

Dr. Soumyashree Narayan

Dr. Soumyashree Narayan

Child & Adolescent Psychiatrist

Dr. Vandana Bharadwaj

Dr. Vandana Bharadwaj

Pediatric Hematologist & Oncologist

Dr. Sanjeev G N

Dr. Sanjeev G N

Pediatric Geneticist

Dr. Shruthi Badarinath Pranav

Dr. Shruthi Badarinath Pranav

Pediatric Gastroenterologist

Dr. Sameer Holageri

Dr. Sameer Holageri

Pediatric Plastic Surgeon

Dr. Rudraprasad

Dr. Rudraprasad

Pediatric Orthopedic Surgeon

Dr. Rekha Bathala

Dr. Rekha Bathala

Pediatric Endocrinologist

Dr. Ravneet Chhabra

Dr. Ravneet Chhabra

Pediatric Surgeon

Dr. Prem Kumar

Dr. Prem Kumar

Pediatric ENT Surgeon

Dr. Rashmi Agarwal

Dr. Rashmi Agarwal

Pediatric Dermatologist

Dr. Prashantha Kesari

Dr. Prashantha Kesari

Pediatric Plastic Surgeon

Dr. Pradeep Kumar N

Dr. Pradeep Kumar N

Pediatric Plastic & Reconstructive Surgeon

Dr. Nagendra Kumar

Dr. Nagendra Kumar

Pediatric Gastro & Hepatologist

Dr. Nagalatha Chidananda

Dr. Nagalatha Chidananda

Lactation Consultant

Dr. Mohammad Yaqub

Dr. Mohammad Yaqub

Pediatric Orthopedic Surgeon

Dr. Manmeet Chhabrra

Dr. Manmeet Chhabrra

Pediatric Neuro Surgeon

Dr. Kalyan

Dr. Kalyan

Pediatric Cardiologist

Dr. Jayaranganath

Dr. Jayaranganath

Senior Pediatric Cardiologist

Dr. Rajeshwari M

Dr. Rajeshwari M

Pediatric Nephrologist

Dr. Chandrika Rao

Dr. Chandrika Rao

Adolescent Pediatrician

Dr. Chandana KPS

Dr. Chandana KPS

Developmental Pediatrician

Dr. Viveka Santosh Reddy

Dr. Viveka Santosh Reddy

Pediatric Neurologist

Dr. Abhishek S Bhasme

Dr. Abhishek S Bhasme

Pediatric Orthopedic Surgeon

Dr. Anand Rao

Dr. Anand Rao

Pediatric Rheumatologist

Frequently Asked Questions

Pediatric Surgery & Urology in Basavanagudi

Find answers to common questions about pediatric surgery, pediatric urology, minimally invasive surgery, congenital conditions, and post-operative care.

The ideal window for hypospadias repair is between 6 and 18 months of age. Performing surgery before 18 months minimizes psychological awareness, reduces catheter discomfort during infancy, and allows the urethra to heal naturally as the child grows.

Parents can also discuss their child's overall developmental health with an experienced pediatrician in Bangalore alongside specialist pediatric surgical care.

Yes. Pediatric laparoscopy uses specialized 3 mm to 5 mm micro-instruments tailored for small body cavities. It offers significant advantages over open surgery, including reduced post-operative pain, minimal tissue trauma, hidden scars, and same-day or 24-hour hospital discharge.

Young infants may also require coordinated pediatric care before and after surgery. Parents can consult a pediatrician in Bangalore for broader child-health assessment when required.

An undescended testis has failed to complete its natural move into the scrotum and cannot be pulled down manually without tension. A retractile testis has descended fully but temporarily pulls up into the groin due to an overactive muscle reflex.

Retractile testicles generally resolve on their own, whereas true undescended testes require an orchidopexy.

If left untreated, a testicle residing in the warm groin or abdomen suffers cellular damage from high body heat, which can lead to impaired fertility and a higher long-term risk of testicular tumors.

Surgery (orchidopexy) brings the testicle into the scrotum to preserve healthy function.

Testicular torsion occurs when the spermatic cord twists, cutting off blood supply to the testicle. Symptoms include sudden, severe scrotal pain, swelling, redness, and vomiting.

It is a surgical emergency requiring emergency detorsion within 6 hours to prevent permanent loss of the testicle.

Umbilical Hernia

Often resolves on its own as abdominal wall muscles strengthen during the first 3 to 4 years of life.

Inguinal Hernia

Will never close naturally in children. Because of the risk of incarceration (trapped intestine or tissue), an inguinal hernia requires surgical repair upon diagnosis.

Pelvi-Ureteric Junction (PUJ) obstruction is typically detected via routine fetal ultrasound (antenatal hydronephrosis) or post-birth scans showing kidney swelling.

Treatment involves a procedure called pyeloplasty, performed laparoscopically or robotically, which removes the blocked section and reattaches the ureter to allow normal urine drainage.

Vesicoureteral Reflux (VUR) is a condition where urine flows backward from the bladder into the kidneys, increasing the risk of severe kidney infections (pyelonephritis).

Depending on the grade, management ranges from long-term low-dose antibiotic prophylaxis to minimally invasive endoscopic injections or surgical ureteric re-implantation.

Physiological tight foreskin (phimosis) is completely normal in infants and young boys.

Treatment with medical ointment or pediatric circumcision is generally considered when the child experiences painful urination, recurrent ballooning of the foreskin, severe inflammation (balanoposthitis), or scarring from Balanitis Xerotica Obliterans (BXO).

GI Ingestion

If the object is smooth and small, such as a coin, it may pass through the digestive tract. Immediate emergency assessment is required for a button battery, multiple magnets, sharp object, or if the child develops drooling, vomiting, pain, or difficulty swallowing.

Airway / Tracheal Foreign Body

If the child experiences sudden choking, persistent wheezing, stridor, or breathing difficulty, seek emergency medical attention immediately for appropriate airway assessment and possible endoscopic retrieval.

Children with suspected ear, nose, throat, or airway-related foreign bodies may require assessment by a pediatric ENT surgeon .

A choledochal cyst is a congenital malformation causing cystic dilation of the bile ducts. It may cause abdominal pain, jaundice, or recurrent pancreatitis.

Complete surgical excision of the cyst with biliary reconstruction (Roux-en-Y hepaticojejunostomy) may be required to restore normal bile drainage and reduce long-term complications.

Both conditions can cause swelling in the groin or scrotum.

A congenital hydrocele contains fluid and may change size throughout the day. An inguinal hernia can contain intestinal loops or abdominal tissue and may bulge more noticeably when the child cries, coughs, or strains.

Most children recover rapidly after laparoscopic or minimal access procedures. Pain is usually mild and manageable with prescribed pediatric pain medication during the initial recovery period.

Depending on the procedure and the child's condition, many children gradually return to normal indoor activity within a few days, while return to school and strenuous physical activity should follow the operating surgeon's advice.

Our Basavanagudi facility provides comprehensive outpatient evaluations, second opinions, diagnostic workups, minor day-care procedures, and specialized pre-operative and post-operative pediatric surgical care.

Families who require broader child-health support can also consult our pediatrician in Bangalore . For feeding and breastfeeding-related concerns involving newborns and infants, support is also available through our lactation consultant .

The clinic is conveniently accessible from areas around Bull Temple Road, Gandhi Bazaar, Basavanagudi, and surrounding South Bangalore localities.

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